Chen, George D.
Chen, George D. is an sole proprietor health care provider with primary practice located at 1564 E Crowne Point Dr , Eagle ID 83616. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chen, George D. can be contacted via phone (916) 508-2435.Contact Information
Primary practice address
1564 E Crowne Point Dr
Eagle ID 83616
Phone: (916) 508-2435
Fax: (916) 983-6201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 39384 | California |
Profile Details
| NPI number | 1154449163 |
|---|---|
| LBN Legal business name | Chen, George D. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jan 19th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154449163 | NPPES |
| California | Other | 39384 | STATE LICENSE NUMBER |
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